Negotiated reimbursement rates for D5923 across 1 states, sourced from CMS Transparency in Coverage data. 5 rate records.
D5923 is the code for an interim ocular prosthesis, which serves as a temporary solution for patients awaiting a permanent ocular prosthesis. This procedure is indicated for patients who have recently undergone eye removal or have lost an eye due to trauma or disease. Documentation should include the reason for the interim prosthesis, details of the patient's condition, and any previous treatments. Reimbursement for D5923 may be limited, as some payors may not cover interim devices or may require additional justification for medical necessity. Billing professionals should check with individual payors to understand their policies regarding interim prostheses.
Reimbursement rates for D5923 vary significantly by state, payor, and provider network. The national average negotiated rate is $5. Data sourced from CMS Transparency in Coverage machine-readable files, updated monthly.
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